Transcription of BNSSG Adult Guidelines for Vitamin D Deficiency
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BNSSG Adult Guidelines for Vitamin D Deficiency
[Type text] BNSSG Adult Guidelines for Vitamin D Deficiency Signs and Symptoms Widespread bone discomfort or pain in lower back pelvis and lower extremities Impaired physical function Muscle aches and weakness Predisposing factors Dark skin (those of African, African-Caribbean, Asian or Middle-Eastern origin) Elderly (65 years and older) Lack of sun exposure (housebound, covering skin) Malabsorption syndrome or dietary factors (vegan, lactose free diet, coeliac disease, post bariatric surgery) Drugs - anticonvulsants, cholestyramine, rifampicin, glucocorticoids or anti retrovirals Endocrine conditions such as hyperthyroidism, hyperparathyroidism, BMI > 30 Fragility fracture, osteoporosis or high fracture risk Pregnant or breastfeeding Assessing the patient DO NOT ROUTINELY MONITOR SERUM Vitamin D LEVELS No risk factors No signs or symptoms Risk factors present No signs or symptoms Symptoms present with or with
Version 2 BNSSG Medicines Optimisation Team. Thanks to East Berkshire CCG from which this document was based Royal College of Obstetricians and Gynaecologists. Vitamin D in pregnancy: Scientific Impact Paper No43 (2014) Approved by APMOC April 2019. Review date April 2021. Lifestyle advice Safe sun exposure Dietary intake of Vitamin D (oily
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